Organization
SANTA CRUZ COMMUNITY HEALTH CENTERS
Active
Parent organization
SANTA CRUZ COMMUNITY HEALTH CENTERS
Other names
Shoreline Middle School
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA CRUZ COMMUNITY HEALTH CENTERS
Authorized official
RUTH JASSO (REVENUE CYCLE MANAGER)
(831) 427-3500
Entity
Organization
Contact information
Practice address
855 17TH AVE, SANTA CRUZ, CA 95062-4169
(831) 427-3500
(831) 426-3286
Mailing address
PO BOX 542, SANTA CRUZ, CA 95061-0542
(831) 427-3500
(831) 426-3286
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952749541
—
CA
Enumeration date
08/09/2022
Last updated
08/09/2022
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